Please use this identifier to cite or link to this item: http://hdl.handle.net/11455/27849
標題: 影響醫療支出及教育支出之因素分析
The Analysis of Estimating Health Care and Education Expenditure Functions
作者: 呂光和
Lu, Kuang-Ho
關鍵字: 醫療支出;medical expenses;教育支出;迴歸分析;家戶五等分位組;可支配所得;educational expenses;regression analysis;the household by disposable income quintile;disposable income
出版社: 應用經濟學系所
引用: 行政院主計處,(1985~2005),台灣地區家庭收支調查報告。 中央健康保險局(2005),「全民健康保險統計」,中央健康保險局網頁資料,(http://www.nhi.gov.tw/)。 衛生署,(2005),衛生統計(一):公務統計,台北:行政院衛生署編印。 文久美(1991),「台灣醫療需求函數之實證結果」,嘉南學報,17:70-75。 鄭保志、胡玉蕙(1997),「台灣家庭醫療需求的實證分析」,台北銀行月刊,27(5):71-88。 盧瑞芬、謝啟瑞(2000),醫療經濟學,學富文化事業有限公司。 謝啟瑞(1994),「兒童醫療需求的實證分析」,經濟論文叢刊,22(1):1-23。 謝啟瑞、林建甫、游慧光(1998),「台灣醫療保健支出成長原因的探討」,人文及社會學集刊,10(1):1-32。 謝啟瑞、陳肇男(1993),「健康保險與老人自付醫療費用之探討」,人文及社會學集刊,6(1):163-203。 羅紀琼(1991),「人口老化對醫療支出的影響:台灣的實證研究」,經濟論文,19(1):107-133。 李隆生(1999),「美國1970-1990醫療支出之影響因素分析」,暨大學報,3:2,183-197。 楊惟智、陳世能(2001),「醫療需求理論之台灣實證分析」,世新大學經濟學研究所碩士論文。 李奕君(1992),「教育水準與薪資分配均度之關係-台灣實證研究」,國立政治大學經濟學研究所碩士論文。 鄭光甫(1995),「教育資源分配現況檢討及改革方向」,教改會委託研究報告。 孫震(1995),「國家總體教育資源分配」,教改會委託研究報告。 Baltagi,B.H.(1965),Econometric Analysis of Panel Data, John Wiley & Sons,New York, NY. Becker, G.S.(1965),”Theory of the Allocation of Time.”, Economic Journal,75:493-517. Chiswick,Barry R. and Jacob Mincer(1972),Time-Series in Personal Income Inequality in the United States from 1939 with Projections to 1985, Journal of Political Economy,3,S34-S66. Culyer A.J.(1990), “Cost Containment in Europe,”in OECD, 1990 Health Care Systems in Transition,Paris:OECD. Folland,S.,Goodman,A.C.,Stano,M.(1997), The Economics of Health and Health Care,Upper Saddle River,NJ:Printice-Hall Inc. Fuchs,V.R.(1979),“Economics,Health, and Post-Industrial Socity,”Milbank Memorial Fund Quarterly,57(2),153-182. Fuchs,V.R.(1982),”Time Preference and Health: An Exploratory Study,”in V. Fuchs,ed., Economic Aspects of Health,93-120,Chicago:The University of Chicago press. Grossman, M.(1972),”On the Concept of Health Capital and the Demand for Health.”, Journal of Political Economy,80:223-255. Heckman,James(1979),“Sample Selection Bias as a Specification Error,”Econometrica 47(1):153-161. Mincer,J.(1970),The Distribution of Labor Incomes: A Survey with Special Reference to the Human Capital Approach, Journal of Economic Literature,8,1-26. Schieber,George J.and Jean-Pierre Poullier(1989),“Overview of International Comparisons of Health Care Expenditures,”Health Care Financing Review Annual Supplement,1-7. Schieber,George J.,; Jean-Pierre Poullier, and Leslie M.Greenwald (1992),“U.S. Health Expenditure Performance: An International Comparison and Data Update,”Health Care Financing Review,13:4,1-87.
摘要: 
近年來隨著經濟發展,國人家庭所得提昇,民眾對醫療服務與教育品質的需求標準日益提昇,導致近十年來國人醫療保健與教育支出增幅最大,且持續呈現增加趨勢。
現有國外文獻在醫療保健支出與醫療需求理論已有許多探討與研究,但臺灣在探討醫療保健支出原因相對減少,且大多著重在橫斷面(cross-section)探討。因此本研究為探討影響醫療保健支出與教育支出之因素,利用行政院主計處歷年資料,採用廻歸分析方法與結果,從事歷年(1985年至2005年)跨年度變數間估計結果比較分析,並進而以家戶五等分位組(高、低所得家庭)級距間與跨年度比較,估計出影響醫療支出和教育支出之因素,並解釋這些因素的相對重要性。
實證結果發現影響醫療支出之主要原因為可支配所得、戶內人口數、戶內65歲以上人口數對醫療支出有顯著而正面影響。另可支配所得、戶內人口數、就業人口數、上網與否(擁有電腦否)則為影響教育支出之主要原因。從五等分位組(高、低所得家庭)級距估計結果,高、低所得家庭之所得、老年人口數對於醫療支出有顯著影響,且有增加趨勢;高所得家庭戶長為高知識分子者、上網且擁有電腦者則對教育支出有顯著影響;而高、低所得家庭,城鄉差距及就業人口數對教育支出均有顯著影響;高、低所得家庭戶內人口數對醫療支出與教育支出均有顯著影響,且呈增加趨勢。

The household demand for the medical service and educational quality has increased steadily along with the development of Taiwan's economy and improvement of family income in the past decade. This situation has significantly increased the health insurance and educational expenses.
Many studies on the health care expenses and medical demanding theory have been reported in literature. However, investigations in Taiwan on demand for the medical service were limited, and most of the related analyses were based on short time period data. As a consequence, this research aimed to investigate the reasons for influencing the medical and educational expenses based on long-term statistics materials during the periods of 1985 to 2005 from the directorate-general of budget, accounting and statistics of Executive Yuan. Regression analysis method was utilized.
The results of this study revealed that the main factors affecting medical expenses are disposable income, indoor person number, and elderly person number. This study also found that disposable income, indoor person number, number of employment, and access to internet are the main reasons to influence educational expenses. From the analysis of the household disposable income quintile (high and low income family), we conclude that high and low income families, disposable income and indoor elderly persons has significantly affected the medical expenses. This study also showed that those who with higher income and internet facility are willing to invest on education. In addition, both the high and low income and the number of the employment of a family, and the difference in county and city

have more prominent influence in educational expenses. The indoor person number in high, low income families has greater influence in both medical and educational expenses, and this trend is still growing.
URI: http://hdl.handle.net/11455/27849
其他識別: U0005-1607200716515400
Appears in Collections:應用經濟學系

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